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Table 3 Baseline predictors of thrombotic risk in patients with LA: univariable and multivariable analyses

From: Cardiovascular risk factors are major determinants of thrombotic risk in patients with the lupus anticoagulant

 

Univariable analysis

Multivariable analysis

 

SHR

95% CI

p

SHR

95% CI

p

Demographic characteristics

 Age at entry (per 5 years increase)

1.06

0.97-1.17

0.193

1.07

0.99-1.04

0.174

 Female gender

0.73

0.34-1.59

0.433

0.92

0.38-2.23

0.859

 BMI (per 5 kg/m2 increase)

1.22

0.94-1.58

0.131

1.30

0.94-1.80

0.112

Clinical history

 Prior history of thrombosis

0.94

0.45-1.95

0.865

1.40

0.60-3.27

0.436

-Arterial

1.31

0.55-3.12

0.547

1.08

0.42-2.79

0.872

-Venous

0.73

0.37-1.46

0.374

1.06

0.51-2.20

0.870

-Arterial and venous

0.53

0.09-3.23

0.491

0.38

0.04-3.79

0.409

 Prior history of pregnancy complicationsa

0.97

0.39-2.40

0.954

0.53

0.19-1.48

0.225

 APS

0.75

0.36-1.58

0.448

0.89

0.39-2.00

0.772

 Family history of thrombosis

0.70

0.31-1.57

0.390

0.86

0.37-2.00

0.719

 Oral anticoagulation at baseline (VKA)

0.93

0.47-1.86

0.839

1.16

0.56-2.39

0.695

Comorbidities

 Hypertension

1.28

0.60-2.75

0.525

0.79

0.25-2.53

0.697

 Diabetes

5.18

1.87-14.31

0.002

N/A

N/A

N/A

 Statin exposure

2.64

0.71-9.82

0.147

3.34

0.94-11.89

0.063

 Autoimmune rheumatic diseasesb

0.81

0.38-1.74

0.594

0.70

0.31-1.60

0.404

 Hereditary thrombophiliac

1.22

0.60-2.46

0.586

1.23

0.59-2.55

0.580

 Active smoker at baseline

2.11

1.06-4.20

0.034

N/A

N/A

N/A

Disease-defining autoantibodies

 aPTT-LA (per 10-s increase)

1.10

1.00-1.21

0.044

N/A

N/A

N/A

 aPTT ratio (per 1 multiple of the mean)

1.39

1.01-1.93

0.044

N/A

N/A

N/A

 aPTT or aPTT ratio >75th percentiled

2.65

1.32-5.31

0.006

N/A

N/A

N/A

 aβ2-GPI IgM (per 1 logMPL increase)

1.12

0.87-1.46

0.377

1.00

0.75-1.33

0.993

 aβ2-GPI IgG (per 1 logGPL increase)

1.03

0.85-1.25

0.778

1.04

0.84-1.28

0.730

 aCL IgM (per 1 logMPL increase)

1.30

0.98-1.74

0.068

1.08

0.76-1.53

0.665

 aCL IgG (per 1 logGPL increase)

1.10

0.87-1.39

0.436

1.03

0.80-1.33

0.804

 LA alone

0.77

0.35-1.71

0.528

0.91

0.41-2.02

0.825

 LA + aβ2-GPI

1.33

0.60-2.95

0.476

1.14

0.51-2.53

0.746

 LA + aCL

1.42

0.71-2.82

0.323

1.16

0.56-2.42

0.684

 Triple positivity (ISTH cut-off)e

1.53

0.77-3.04

0.226

1.22

0.58-2.54

0.598

 Triple positivity (Padova cut-off)e

1.37

0.67-2.84

0.390

1.00

0.45-2.23

0.998

 Triple positivity (local cut-off)e

1.21

0.59-2.51

0.603

0.91

0.42-1.99

0.812

LA-related autoantibodies

 Domain I β2-GPI (per 1000 CU increase)

0.93

0.65-1.34

0.711

0.82

0.43-1.56

0.546

 Anti-protein Z IgM (per 10 units increase)

1.00

0.58-1.72

0.999

0.75

0.43-1.30

0.301

 Anti-protein Z IgG (per 10 units increase)

1.01

0.74-1.38

0.931

0.90

0.67-1.20

0.457

 Antiprothrombin IgM

0.98

0.87-1.10

0.747

0.98

0.94-1.01

0.163

 Antiprothrombin IgG

0.99

0.96-1.01

0.373

1.00

0.99-1.00

0.340

 Annexin A5 ratio (per 50% increase)

0.83

0.56-1.23

0.347

0.92

0.55-1.53

0.734

Selected laboratory parameters

 C-reactive protein (per 5 mg/dL increase)

1.04

0.68-1.57

0.863

0.95

0.63-1.42

0.792

 Triglycerides (per 100 mg/dL increase)f

1.32

0.86-2.01

0.201

1.19

0.96-1.47

0.121

 Cholesterol (per 100 mg/dL increase)

1.22

0.58-2.58

0.604

1.31

0.59-2.92

0.513

 HDL/LDL ratio (per 1 unit increase)

0.99

0.82-1.20

0.937

1.04

0.89-1.21

0.601

 Homocysteine (per 5 μmol/L increase)f

1.25

0.81-1.93

0.316

1.03

0.94-1.12

0.571

 Fibrinogen (per 100 mg/dL increase)

1.15

0.80-1.66

0.440

1.23

0.86-1.77

0.253

  1. All presented results are derived from uni- and multivariable Fine and Gray proportional subdistribution hazards regression models (p values ≤ 0.05 are reported in bold font). In multivariable analysis, estimates are adjusted for the baseline variables diabetes, smoking, and a prolonged lupus-sensitive aPTT ratio
  2. a–fDefined as in the legend of Table 1
  3. fBoth the triglyceride level and the homocysteine level were univariably associated with a higher risk of thrombosis; however, one outlier was present in each of these variables, and the association between these variables and thrombotic risk disappeared after exclusion of these outliers. The reported subhazard ratios exclude these outliers
  4. SHR subdistribution hazard ratio, 95%CI 95% confidence interval, p Wald test p value, VKA vitamin K antagonist, N/A not applicable